Individual
MRS. MICHELLE LEROUGE MENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2309 EAST MAIN STREET, SUITE 400, NEW IBERIA, LA 70560
(337) 367-0271
(337) 364-6139
Mailing address
2309 EAST MAIN STREET, SUITE 400, NEW IBERIA, LA 70560
(337) 367-0271
(337) 364-6139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD202746
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006254
—
LA
Enumeration date
07/13/2007
Last updated
02/09/2012
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